Provider Demographics
NPI:1679610141
Name:CINCINNATI ARTHRITIS ASSOCIATES PSC INC
Entity type:Organization
Organization Name:CINCINNATI ARTHRITIS ASSOCIATES PSC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:HOUK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-532-1976
Mailing Address - Street 1:2123 AUBURN AVENUE
Mailing Address - Street 2:SUITE #630
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219
Mailing Address - Country:US
Mailing Address - Phone:513-585-1970
Mailing Address - Fax:513-585-1995
Practice Address - Street 1:2123 AUBURN AVE
Practice Address - Street 2:SUITE #630
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2906
Practice Address - Country:US
Practice Address - Phone:513-585-1970
Practice Address - Fax:513-585-1995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2373604Medicaid
OH2373604Medicaid